| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.78 | $10.78 | $10.78 | |
Aetna
| Professional | $10.78 | $20.99 | $113.64 | |
Cigna
| Facility | $26.07 | $26.07 | $26.85 | |
Cigna
| Professional | $16.07 | $22.16 | $27.84 | |
Molina
| Professional | $23.57 | $28.75 | $37.51 | |
Regence BlueShield
| Professional | $21.90 | $27.57 | $41.35 | |
United
| Professional | $13.08 | $16.70 | $23.96 |